A nurse is teaching a client who has rheumatoid arthritis about self-care strategies for managing the disease. Which of the following activities should the nurse include in the teaching?

Engage in repetitive tasks, even when joints are inflamed, to keep the joints mobile.

Press water from a sponge rather than wringing it.

Finish weekly household tasks within 1 or 2 days.

Turn doorknobs using a clockwise motion.

Answer and Explanation

The Correct Answer is B

A. Engage in repetitive tasks, even when joints are inflamed, to keep the joints mobile is not recommended; rest and joint protection are important during inflammation.

B. Press water from a sponge rather than wringing it is a good strategy to avoid straining the joints.

C. Finish weekly household tasks within 1 or 2 days may lead to increased stress on the joints; tasks should be spread out to avoid exacerbating symptoms.

D. Turn doorknobs using a clockwise motion does not have specific benefits for managing rheumatoid arthritis; using adaptive devices is generally recommended.

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Correct Answer is C

Explanation

A. Dobutamine does not directly affect blood glucose levels.
B. While dobutamine can increase heart rate, this is not a primary indicator of its effectiveness in treating heart failure.
C. Increased urine output indicates improved cardiac output and kidney perfusion, suggesting that dobutamine is effectively enhancing the heart's pumping ability.
D. Dobutamine may cause a slight decrease in blood pressure, but this is not a primary measure of its effectiveness in heart failure treatment.

A. Skeletal pain B. Waddling gait C. Cranial enlargement D. Vision deficits E. Cold extremities

Correct Answer is ["A","B","C","D"]

Explanation

A. Skeletal pain: Paget's disease of the bone often results in bone pain due to the excessive breakdown and regrowth of bone tissue.
B. Waddling gait: The disease can cause leg bones to bend, leading to a waddling gait.
C. Cranial enlargement: Overgrowth of bone in the skull can occur, potentially leading to cranial enlargement.
D. Vision deficits: When Paget's disease affects the skull, it can put pressure on nerves, possibly leading to vision deficits.
E. Cold extremities: This is not a typical symptom of Paget's disease of the bone and is therefore not a correct answer. Cold extremities are more commonly associated with peripheral vascular diseases rather than Paget's disease.

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A nurse is teaching a client who has rheumatoid arthritis about self-care strategies for managing the disease. Which of the following activities should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the ICU is caring for a client who has heart failure and is receiving a dobutamine drip. The nurse should identify that which of the following findings indicates that the medication is effective?

Correct Answer is C

Explanation

A nurse is assessing a client who has Paget's disease of the bone. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is suctioning the endotracheal tube of a client who is on a ventilator. The client's heart rate increases from 86/min to 110/min and becomes irregular. Which of the following actions should the nurse take?

The healthcare provider prescribes regular insulin 8 units/hr intravenously (IV). The IV solution contains 100 units of regular insulin in 100 mL of 0.9% normal saline. How many mL/hr should the nurse program the infusion pump? (Enter numerical value only.)

A nurse is shopping and finds a woman who has collapsed with right-sided weakness and slurred speech. Which of the following actions should the nurse take?

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A nurse is presenting discharge instructions to a client who has multiple sclerosis (MS). The client reports symptoms of diplopia, dysmetria, and sensory change. Which of the following nursing statements are appropriate?

A nurse is planning care for a client who is postoperative following a total hip arthroplasty. Which of the following interventions should the nurse include in the plan of care?

A nurse is providing teaching for a client who is scheduled for a myelogram. Which of the following statements indicates the client understands the teaching?